52D1049572 CLIA NUMBER - WOMEN'S CARE OF WISCONSIN

Laboratory Demographics

  • CLIA Code: 52D1049572
  • Facility Name: WOMEN'S CARE OF WISCONSIN
  • Facility Address: 491 SOUTH WASHBURN ST
    OSHKOSH, WI
    ZIP 54904
  • Facility Phone: 920 729-7105
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC G. EBERTS
  • NPI Number: 1003811993
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 52D1049572
LAB Type Physician Office
Facility Name WOMEN'S CARE OF WISCONSIN
Street 491 SOUTH WASHBURN ST
City OSHKOSH
State WI
ZIP 54904
Phone 920 729-7105
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DR. ERIC G. EBERTS

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This page was last updated on: 3/20/2025